Mayedel a San Jose PC
NPI #1083305510 in Santa Teresa, New Mexico
Provider Information
- NPI Number
- 1083305510
- Entity Type
- Organization
- Organization Name
- Mayedel a San Jose PC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 16, 2023
- Last Updated
- Sep 25, 2025
Practice Location
- Address
- 1245 COUNTRY CLUB RD STE 200
- City
- Santa Teresa
- State
- New Mexico
- ZIP Code
- 88008-9743
- Phone
- (575) 332-4633
Authorized Official
- Name
- DR. MAYEDEL SAN JOSE, DNP, APRN, FNP-C
- Title
- OWNER
- Phone
- (575) 332-4633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Nurse Practitioner - Family — Family |
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